Request for Quote from Rooster Express, Inc.

Your Information
  Your Name:   __________________________________________________
  Company Name:   __________________________________________________
  Phone:   __________________________________________________
  Fax:   __________________________________________________
  E-Mail:   __________________________________________________

Your Freight
  T/L?   Yes   No
  LTL?   Yes   No
  Commodity:   ______________________________________________
  Origin:   ______________________________________________
      ______________________________________________
      ______________________________________________
  Destination:   ______________________________________________
      ______________________________________________
      ______________________________________________
  Weight:   _______________________________
  Volume/Dimensions:   _______________________________
  Hazardous?   Yes   No
  Refrigerated?   Yes   No
  Flatbed?   Yes   No
  Type of Service:   Expedited   Standard
  Expected Ship Date:   _______________________________
 

  

Additional Information

    
 

Have you or your company done business with us before?

 

Yes   No

  Comments/Special Requests:    
       ______________________________________________________________
       ______________________________________________________________
       ______________________________________________________________
       ______________________________________________________________
       ______________________________________________________________

 

  Please fax this form to 1-630-350-1058.
 
Rooster Express, Inc. • PO Box 28 • Wood Dale, IL 60191
Phone: 1-630-350-0099 • Toll Free: 1-800-466-3755